2018 New York Laws
MHY - Mental Hygiene
Title E - General Provisions
Article 29 - General Provisions Relating to In-Patient Facilities
29.29 - Incident Reporting Procedures.

§ 29.29 Incident reporting procedures.
The  commissioners  of  the office of mental health and the office for
  people with developmental disabilities of the department shall establish
  policies and uniform procedures for their  respective  offices  for  the
  reporting,  compilation,  and  analysis  of  incident  reports. Incident
  reports shall, for  the  purposes  of  this  chapter,  mean  reports  of
  accidents   and   injuries  affecting  patient  health  and  welfare  at
  facilities. These policies and procedures shall include but shall not be
  limited to:
1. The establishment of a patient care and safety team at the facility
  level which shall include but not be limited  to  a:  physician,  nurse,
  social  worker  and  therapy  aide,  to  investigate  and  report to the
  facility director on:
(i) suicides or attempted suicides;
(ii) violent behavior exhibited by either patients or employees;
(iii) frequency and severity of injuries incurred by  either  patients
  or employees;
(iv)  frequency and severity of injuries occurring on individual wards
  or in buildings at such facility;
(v) patient leave without consent;
(vi) medication errors; and
(vii) recommendations for corrective actions in response  to  incident
  reports to ensure the care and safety of all patients.
2.  The establishment of cumulative record keeping of incident reports
  which identifies patient and employee involvement.
3. A compilation of uniform and measurable  information,  first  on  a
  facility  basis,  then on an office-wide basis, that will indicate where
  the greatest number and types of incidents occur.
4. Each facility shall aggregate its data monthly for the director and
  that aggregated information shall be submitted, at  least  semi-annually
  to  the  commissioner  of  the  office  of  mental  health  and  to  the
  commissioner of the office for people with developmental disabilities.
5. The commissioners shall transmit a  copy  of  any  report  received
  pursuant  to subdivision four of this section to the state commission on
  quality of care and advocacy for persons with disabilities.